I see patients who have never been pregnant before, patients who’ve been pregnant and delivered before who can’t get pregnant for either a second or a third child, or couples who have recurrent pregnancy losses. Say for example, someone comes in and they have blocked tubes. Well, you can surgically try to open those tubes, radiology can help in trying to open those tubes, or we can bypass the tubes and go to in vitro fertilization.

It’s really very much patient-driven, in terms of what they’re comfortable with. Some people are not comfortable with assisted technology. We are now using more medications, in terms of trying to help the male have better quality sperm — in some couple they can avoid having to go through the higher technological procedures.

I really get to know these people — these individuals — and you develop a bond. And I think once you develop a bond, you really feel connected and you really want the best outcome, in terms of a happy healthy family.